WPI - VWT 2015

• Bedrijfsonderdeel

  M&W

  I&I

• Projectnr. en/of Projectnaam:

• Uitgevoerd op:

  Date
• Add location
  Address

• Add media

  Media

• Uitgevoerd door:

• Uitgevoerd met:

• Be critical: not correct = not correct
  • If possible, execute the WPI together with the team leader on site
  • Be positive about correct points, rather than being negative about minor violations
  • Always correct immediately in case of major safety violations (not wearing PPM, unsafe working conditions, etc)
  

01. Fire prevention and fire fighting

• Is this risk present?

• 1.1 Fire extinguisher present

  Yes

  No

  N/A

• BENORn°

• 1.2 Fire extinguisher checked,

  Yes

  No

  N/A

• Select date

  Date

• Comments

• 1.3 Personnel knows how to extinguish?

  Yes

  No

  N/A

• Comments

• 1.4 Flammable material is not situated near a heat source

  Yes

  No

  N/A

• Comments

• 1.5 Reporting procedure in case of fire is clear for this work place

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

02. First aid

• Is this risk present?

• 2.1 First aid kit present.

  Yes

  No

  N/A

• VKn° = VK..........

• 2.2First aid kit checked.

  Yes

  No

  N/A

• Date when first aid kid was checked.

  Date

• 2.3 Personnel knows procedure in case of accident (who, what)

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

03. Work place safety

• Is this risk present?

• 3.1 Work place access is safe and in good condition

  Yes

  No

  N/A

• Comments

• 3.2 Evacuation route is known and not blocked

  Yes

  No

  N/A

• Comments

• 3.3 Work place illumination is sufficient and safe

  Yes

  No

  N/A

• Comments

• 3.4 Work place is sufficiently and safely blocked for third parties

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

04. Cleanness and theft prevention

• Is this risk present?

• 4.1 Work place is clean and tidy

  Yes

  No

  N/A

• Comments

• 4.2 Company vehicle is clean and tidy

  Yes

  No

  N/A

• Comments

• 4.3 Company vehicle is parked correctly and is locked

  Yes

  No

  N/A

• Comments

• 4.4 Valuables (satnav, laptop) are out of sight

  Yes

  No

  N/A

• Comments

• 4.5 Documents of vehicle (insurance, inspection) are in order

  Yes

  No

  N/A

• Take pictures of the documents

  Media

• Comments

• 4.6 Mileage of vehicle and License plate

  Yes

  No

  N/A

• Picture of Mileage and licence plate.

  Media

• Comments

• If needed add pictures.

  Media

05. Work equipment

• Is this risk present?

• 5.1 All electrical tools are checked (sticker)

  Yes

  No

  N/A

• Comments

• 5.2 All rented tools are checked (sticker, certificate)

  Yes

  No

  N/A

• Comments

• 5.3 Personnel received proper instructions

  Yes

  No

  N/A

• Comments

• 5.4 Tools are in good condition (no visual damage)

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

06. Personal protective means (PPM)

• Is this risk present?

• 6.1 Necessary PPM is present en is being used

  Yes

  No

  N/A

• Comments

• 6.2 PPM are tidy and in good condition

  Yes

  No

  N/A

• Comments

• 6.3 Necessary working gear is tidy and is being used

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

07. Subcontractors

• Is this risk present?

• 7.1 Subcontractors present:

  Yes

  No

  N/A

• Comments

• 7.2 Subcontractor personnel received proper instructions

  Yes

  No

  N/A

• Comments

• 7.3 Subcontractor personnel use necessary PPM

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

08. Health and ergonomics

• Is this risk present?

• 8.1 Work position is ergonomical and healthy

  Yes

  No

  N/A

• Comments

• 8.2 Personal load never exceeds 25kg

  Yes

  No

  N/A

• Comments

• 8.3 Working conditions are healthy (dust, smoke etc)

  Yes

  No

  N/A

• Comments

• 8.4 Measurements are taken to assure healthy working

  Yes

  No

  N/A

• Comments

• 8.5 There is sufficient protection against climatological influence

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

09. Enviromental care

• Is this risk present?

• 9.1 Waste is being separated and stored correctly

  Yes

  No

  N/A

• Comments

• 9.2 Measurements are taken to avoid environmental damage

  Yes

  No

  N/A

• Comments

• 9.3 Personnel knows what to do i.c.o. environmental incident

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

10. Health and safety plan (H&S plan) and risk analysis

• Is this risk present?

• 10.1 LMRA card is present and is being used

  Yes

  No

  N/A

• Comments

• 10.2 H&S plan is present

  Yes

  No

  N/A

• Comments

• 10.3 Kickoff meeting is being held

  Yes

  No

  N/A

• Comments

• 10.4 Local rules are obeyed

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

11. Radiation

• Is this risk present?

• 11.1 Electromagnetical fields (EMF) are measured

  Yes

  No

  N/A

• Comments

• 11.2 Measures against EMF are taken

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

12. Working on heights (>2 meter)

• Is this risk present?

• 12.2 Correct and checked ladder is being used

  Yes

  No

  N/A

• Comments

• 12.3 Fall protection is used in a safe and correct way

  Yes

  No

  N/A

• Comments

• 12.4 Cherry pickers/scissor lifts are checked<br>

  Yes

  No

  N/A

• Comments

• 12.5 Cherry pickers/scissor lifts have no visual damage

  Yes

  No

  N/A

• Comments

• 12.6 Cherry picker/scissor lift operator has a valid license?

  Yes

  No

  N/A

• Comments

• 12.7 Tools and personnel is secured against fall form heights?

  Yes

  No

  N/A

• Comments

• 12.8 Are all certificate for all climbing gear present?

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

13. Electricity

• Is this risk present?

• 13.1 Installation is made dead

  Yes

  No

  N/A

• Comments

• 13.2 Unwanted switching on is prevented (Lock Out – Tag Out)

  Yes

  No

  N/A

• Comments

• 13.3 Live electrical parts are screened

  Yes

  No

  N/A

• Comments

• 13.4 Operational personnel is qualified (BA4/BA5)

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

14. Hoisting and lifting

• Is this risk present?

• 14.1 Hoisting and lifting tools are checked

  Yes

  No

  N/A

• Comments

• 14.2 No visual damage on hoisting and lifting tools

  Yes

  No

  N/A

• Comments

• 14.3 Zone under suspended load is screened

  Yes

  No

  N/A

• Comments

• 14.4 Hoisting and lifting take place in a controlled manner

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

15. Working with dangerous goods

• Is this risk present?

• 15.1 Dangerous goods are labelled correctly

  Yes

  No

  N/A

• Comments

• 15.2 Protective measure is known and executed

  Yes

  No

  N/A

• Comments

• 15.3 Storage and transport takes place in a safe way (drip tray)

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

16. Working along a public road

• Is this risk present?

• 16.1 Signalisation present is sufficient and placed correctly

  Yes

  No

  N/A

• Comments

• 16.2 Personnel is wearing the right protective clothing

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

19. Certificates

• Is this risk present?

• 19.1 All employees have a VCA certificate.

  Yes

  No

  N/A

• Comments

• 19.2 All employees have a GOF3/GOF4 certificate.

  Yes

  No

  N/A

• Comments

• 19.3. All employees have a BA4/BA5 certificate.

  Yes

  No

  N/A

• Comments

• If needed add pictures.

  Media

ONDERTEKENING

• Signature WPI executor

  Sign

• Signature team leader (if present)

  Sign

• Point of attention/suggestion during execution of a WPI

• • Be critical: not correct = not correct
  • If possible, execute the WPI together with the team leader on site
  • Be positive about correct points, rather than being negative about minor violations
  • Always correct immediately in case of major safety violations (not wearing PPM, unsafe working conditions, etc)